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GB 9706.204-2022Medical electrical equipment - Part 2-4: Particular requirements for the basic safety and essential performance of cardiac defibrillators (English PDF)

医用电气设备 第2-4部分:心脏除颤器的基本安全和基本性能专用要求

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Issued by

State Administration for Market Regulation, China National Standardization Administration

Level / Type

National · Mandatory

Issue date

July 13, 2022

Implementation date

August 1, 2024

Scope

GB 9706.204-2022 is the English-translated version of 医用电气设备 第2-4部分:心脏除颤器的基本安全和基本性能专用要求.

Except as described below, Chapter 1 of the General Standard applies.

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Document preview — GB 9706.204-2022

National Standard of the People's Republic of China

ICS
11.040.10
Classification
C 39

Issued by: State Administration for Market Regulation, China National Standardization Administration

Contents

  • foreword
  • Introduction
  • 201.1 Scope, Purpose and Related Standards

foreword

This document is in accordance with the provisions of GB/T 1.1-2020 "Guidelines for Standardization Work Part 1.Structure and Drafting Rules of Standardization Documents"

drafted.

This document is part 2-4 of GB 9706 "Medical Electrical Equipment". GB 9706 has released the following parts.

--- Part 1.General requirements for basic safety and basic performance;

--- Part 1-3.General Requirements for Basic Safety and Essential Performance Collateral Standard. Radiation Protection of Diagnostic X-ray Equipment;

--- Part 2-1.Specific requirements for basic safety and basic performance of electron accelerators with energies from 1MeV to 50MeV;

--- Part 2-2.Special requirements for basic safety and basic performance of high-frequency surgical equipment and high-frequency accessories;

--- Part 2-3.Specific requirements for basic safety and basic performance of shortwave therapy equipment;

--- Part 2-4.Particular requirements for basic safety and basic performance of cardiac defibrillators;

--- Part 2-5.Specific requirements for the basic safety and basic performance of ultrasonic physiotherapy equipment;

--- Part 2-6.Specific requirements for basic safety and basic performance of microwave therapy equipment;

--- Part 2-8.Particular requirements for basic safety and basic performance of therapeutic X-ray equipment with energy from 10kV to 1MV;

--- Part 2-11.Particular requirements for basic safety and basic performance of gamma beam therapy equipment;

--- Part 2-12.Specific requirements for basic safety and basic performance of critical care ventilators;

--- Part 2-13.Particular requirements for basic safety and basic performance of anesthesia workstations;

--- Part 2-16.Particular requirements for basic safety and basic performance of hemodialysis, hemodiafiltration and hemofiltration equipment;

--- Part 2-17.Special requirements for the basic safety and basic performance of automatically controlled brachytherapy afterloading equipment;

--- Part 2-18.Particular requirements for basic safety and basic performance of endoscopic equipment;

--- Part 2-19.Specific requirements for the basic safety and basic performance of infant incubators;

--- Part 2-24.Particular requirements for basic safety and basic performance of infusion pumps and infusion controllers;

--- Part 2-25.Particular requirements for basic safety and basic performance of electrocardiographs;

--- Part 2-26.Specific requirements for basic safety and basic performance of EEG machines;

--- Part 2-27.Particular requirements for basic safety and basic performance of ECG monitoring equipment;

--- Part 2-28.Particular requirements for basic safety and basic performance of medical diagnostic X-ray tube assemblies;

--- Part 2-29.Specific requirements for basic safety and basic performance of radiotherapy simulators;

--- Part 2-36.Particular requirements for the basic safety and basic performance of in vitro induced lithotripsy equipment;

--- Part 2-37.Particular requirements for basic safety and basic performance of ultrasonic diagnostic and monitoring equipment;

--- Part 2-39.Particular requirements for basic safety and basic performance of peritoneal dialysis equipment;

--- Part 2-43.Particular requirements for basic safety and basic performance of interventional X-ray equipment;

--- Part 2-44.Particular requirements for the basic safety and basic performance of X-ray computed tomography equipment;

--- Part 2-45.Mammography equipment and mammography stereotaxic devices for basic safety and basic performance specific

Require;

--- Part 2-54.Particular requirements for the basic safety and basic performance of X-ray photography and fluoroscopy equipment;

--- Part 2-60.Particular requirements for basic safety and basic performance of dental equipment;

--- Part 2-63.Special requirements for basic safety and basic performance of dental X-ray machines for extraoral imaging;

--- Part 2-65.Special requirements for basic safety and basic performance of intraoral imaging dental X-ray machines.

This document replaces GB 9706.8-2009 "Medical Electrical Equipment Part 2-4.Special Requirements for the Safety of Cardiac Defibrillators", and

Compared with GB 9706.8-2009, in addition to structural adjustment and editorial changes, the main technical changes are as follows.

--- Added basic performance requirements (201.4.3);

--- Added requirements for defibrillator electrodes (201.7.2.103);

--- Added requirements for external pacing (201.109);

--- Changed some test methods and test circuits.

This document is modified to adopt IEC 60601-2-4.2018 "Medical Electrical Equipment Part 2-4.Basic Safety and Fundamentals of Cardiac Defibrillators

Capability-Specific Requirements".

The technical differences between this document and IEC 60601-2-4.2018 and their reasons are as follows.

--- Regarding normative reference documents, this document has made adjustments with technical differences to adapt to the technical conditions of our country and the adjustment situation

Centrally reflected in.201.2 "Normative Reference Documents", the specific adjustments are as follows.

- Replace CISPR11 with GB 4824-2019 which is equivalent to adopting international standards;

- Replacing IEC 60601-1.2005/AMD1.2012 with GB 9706.1-2020 which is modified to adopt international standards;

- Replace IEC 61000-4-2 with GB/T 17626.2 which is equivalent to adopting international standards;

- Replace IEC 61000-4-3 with GB/T 17626.3 which is equivalent to adopting international standards;

- Replace IEC 61000-4-4 with GB/T 17626.4 which is equivalent to adopting international standards;

- Replace IEC 61000-4-5 with GB/T 17626.5-2019 which is equivalent to adopting international standards;

- Replace IEC 61000-4-8 with GB/T 17626.8 which is equivalent to adopting international standards;

- Replace ISO 15223-1.2016 with YY/T 0466.1-2016 which is equivalent to adopting international standards;

- Replacing IEC 60601-1-2.2014 with YY9706.102-2021 which has been modified to adopt the international standard.

--- Delete the third paragraph in.201.102.3.1, because the content of the third paragraph and the fifth paragraph in the original text are repeated.

--- Changed Figure.201.106, adding a metal plate between the electrode and the sponge.

---201.108.1.11 The conversion unit "pound" (4lb) has been deleted.

The following editorial changes have been made to this document.

---The column item symbols in.201.106 are numbered sequentially, and the column items a), b) and c) appearing for the second time in the original text are changed to c),

d) and e); in the corresponding penultimate paragraph "b) and c)" are changed to "c) and d)";

--- Removed the column item symbol "d)" in.201.107;

---.201.109.7 added a note stating "ppm";

--- In.201.108.105, ISO 10993 (all parts) for informative references was replaced with "standards related to biocompatibility";

--- Replaced IEC 60529 with GB/T 4208-2017 cited for information;

---Replace ANSI/AAMIEC 12.2000 with YY/T 0196-2005 and YY1079-2008 cited for information

and ANSI/AAMIEC 13.2002;

--- Removed the term index at the end of the text.

Please note that some content of this document may be patented. The issuing agency of this document assumes no responsibility for identifying patents.

Introduction

Medical electrical equipment safety standards, also known as the 9706 series of standards, consist of general standards, side-by-side standards, specific standards, guidelines and interpretations.

---General standard. Medical electrical equipment should be generally applicable to safety standards, that is, equipment that meets the definition of medical electrical equipment should meet this

Basic standard requirements.

--- Side-by-side standard. Medical electrical equipment should be generally applicable to the safety standards, but in most cases only limited to some specific functions or special

Only devices that are sexual are required to meet the requirements of such standards.

---Special standard. a safety standard applicable to a certain type of medical electrical equipment, and not all medical electrical equipment has special

standard.

--- Guidance and interpretation. application guidance and interpretation of the relevant requirements in the standards involved.

In the GB 9706 series of standards, in addition to the published standards and this document, the planned standards are as follows.

--- Part 2-22.Special requirements for the basic safety and basic performance of laser equipment for surgical, plastic, therapeutic and diagnostic use. the purpose is

Establish specific requirements for the basic safety and basic performance of laser equipment for surgical, orthopedic, therapeutic and diagnostic use.

--- Part 2-66.Specific requirements for the basic safety and basic performance of hearing devices and hearing device systems. The purpose is to build hearing

Particular requirements for basic safety and basic performance of equipment and hearing device systems.

This document modifies and supplements GB 9706.1-2020 "Medical Electrical Equipment Part 1.General Requirements for Basic Safety and Essential Performance"

, hereinafter referred to as the general standard.

In this document, an asterisk (*) is used as the first character of a title or the beginning of a paragraph or table title, indicating that there is a reference to this item in Appendix AA.

Specific guidelines and principles related to the project are provided. See Appendix BB for the mapping relationship between this document and the contents of GB 9706.8-2009.

Medical Electrical Equipment Part 2-4.Cardiac Defibrillators

Particular requirements for basic safety and basic performance

201.1 Scope, Purpose and Related Standards

Except as described below, Chapter 1 of the General Standard applies.

201.1.1 *Scope

replace.

This document specifies the basic safety and essential performance of cardiac defibrillators. This document applies to the use of external electrodes applied to the patient's

A defibrillator (hereafter referred to as ME) used to normalize the heart rhythm by applying electrical impulses to the exposed heart through the skin, or using internal electrodes

equipment).

If a chapter or article is clearly stated to apply only to ME EQUIPMENT or ME SYSTEMS, the title and the body of the chapter or article will state that. if not

In this case, the relevant chapter or clause applies to both ME EQUIPMENT and ME SYSTEM.

In addition to 7.2.13 and 8.4.1 of the General Standard, results from expected physiological effects of ME EQUIPMENT or ME SYSTEMS within the scope of this document

Hazards are not specifically required in this document.

Note. See 4.2 of the general standard.

This document does not apply to implantable defibrillators, remote defibrillators, and stand-alone heart monitors (in compliance with GB 9706.227-2021). use

Cardiac monitors with independent ECG monitoring electrodes are not within the scope of this document unless they are used as an AED for rhythm recognition detection or synchronization of cardiac

The only criteria used for cardiac beat detection for electrical cardioversion. The defibrillator electrodes described in.201.108 can also be used for electrocardiogram (ECG) monitoring;

Because the electrode area is too large, the requirements of GB 9706.227-2021 do not apply to defibrillator electrodes.

Defibrillation waveform technology has developed rapidly. Literature studies have shown that the effectiveness of different waveforms is different. The scope of application of this document is expressly

The selection of special waveforms is not included, it includes waveform shape, energy release, efficacy and safety.

However, since the importance of the treatment waveform is critical, a note has been added to the rationale explaining how the waveform's

choose.

201.1.2 Purpose

replace.

The purpose of this document is to establish the specific requirements for essential safety and essential performance of cardiac defibrillators as defined in.201.3.202.

201.1.3 Tied standards

Added.

This document refers to Chapter 2 of the General Standard and the applicable collateral standards listed in.201.2 of this document.

YY9706.102-2021 applies after modification in Chapter 202.All published parallel standards in the GB 9706 series of standards are in accordance with

The current release version applies.

201.1.4 Particular standards

replace.

In the GB 9706 series, the special standard may modify, replace or delete the general standard or the parallel standard according to the special ME EQUIPMENT under consideration.

The requirements contained in the standard may supplement other essential safety and essential performance requirements.

END: Draft Version (GB 9706.204-2022)

......
This preview omits tables, figures, formulas and parts of the technical clauses. The complete document — all pages — is available in the English PDF.

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